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Complete and Partial Aortic Occlusion for the Treatment of Hemorrhagic Shock in Swine
Published on: August 24, 2018
Temporary aortic occlusion to facilitate large-bore arterial closure
Bruce S Bowers1, Stuart Head, David Brown
1Medical City Dallas Hospital, The Dallas Heart Group, Dallas, TX 75230-2522, USA. brucebow@baylorhealth.edu
The Journal of Invasive Cardiology
|October 15, 2010
Summary
Closing large arterial sheaths after procedures can be difficult. A novel technique using a valvuloplasty balloon for aortic occlusion successfully facilitated device deployment and improved bleeding control during arteriotomy closure.
Area of Science:
- Cardiovascular Interventions
- Vascular Surgery
- Interventional Cardiology
Background:
- Percutaneous closure of large-bore arterial sheaths (e.g., >6 French) is a critical step following endovascular procedures.
- Achieving effective hemostasis can be challenging due to the significant arteriotomy size, increasing the risk of complications like bleeding and hematoma.
Observation:
- A case report details the use of a low-profile valvuloplasty balloon catheter positioned for transient aortic occlusion.
- This maneuver was employed to facilitate the deployment and optimal positioning of a percutaneous closure device.
Findings:
- The valvuloplasty balloon technique effectively enhanced the deployment of the large-bore closure device.
- Improved hemostasis was achieved at the arteriotomy site, simplifying the closure process.
Implications:
- This innovative approach offers a potential solution for challenging large-bore arterial sheath closures.
- The technique may improve procedural success rates and patient safety in interventional cardiology and vascular surgery.
- Further studies are warranted to evaluate the broader applicability and efficacy of this method.
